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HEATHER NICOLE METCALF CRNP
NPI 1134468242
Nurse Practitioner - Family in Birmingham, AL

Active since February 08, 2013PECOS Enrolled
1714 9TH AVE S, SUITE 300 LEARNING RESOURCES CENTER, BIRMINGHAM, AL 35294(205) 934-3580(205) 975-6193 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heather Nicole Metcalf Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER NICOLE METCALF CRNP (NPI 1134468242) is an individual family provider in Birmingham, Alabama, licensed in Alabama (FO411111) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1134468242
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER NICOLE METCALFCredential: CRNP
Location Address1714 9TH AVE S, SUITE 300 LEARNING RESOURCES CENTERBirmingham, AL 35294-1270
Mailing Address1714 9th Ave S, Suite 300 Learning Resources CenterBirmingham, AL 35294-1270 · (205) 934-3580 · Fax (205) 975-6193
Phone(205) 934-3580
Fax(205) 975-6193
Sole ProprietorNo
Enumeration DateFebruary 8, 2013
Last NPPES UpdateJune 30, 2023
✔ NPI 1134468242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AL · FO411111✔ Licensed in AL · 1-114932
Also ListedRegistered NurseTaxonomy 163W00000X · License 1114932 (AL)
1714 9TH AVE S, Birmingham, AL 35294
Open in Google Maps ↗

Secondary Practice Location 1

Location 11714 9th Ave SBirmingham, AL 35205-3606 · Phone (205) 934-3581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Nicole Metcalf Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Heather Metcalf reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama At Birmingham
Same address
Optometrist
1701 9TH AVE S
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 460 clinicians in this Medicare group
NPI 1780791376 (205) 934-5161
Neurological Surgery Associates, PC
2.9 mi
Neurological Surgery
513 BROOKWOOD BLVD, SUITE 372
Birmingham, AL 35209
  • Reassigned Medicare billing, Alabama enrollment
  • 6 clinicians in this Medicare group
NPI 1477506285 (205) 949-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35294 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Metcalf's NPI number?

The NPI number for Heather Metcalf is 1134468242. It was assigned to this individual provider in the NPPES registry on February 8, 2013.

Where is Heather Metcalf located?

Heather Metcalf practices at 1714 9th Ave S Suite 300 Learning Resources Center, Birmingham, AL 35294. The listed phone number is (205) 934-3580.

What is Heather Metcalf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heather Metcalf enrolled in Medicare?

Yes. Heather Metcalf is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Metcalf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Metcalf reassigns Medicare benefits to 2 organizations: University Of Alabama At Birmingham (Birmingham, AL) and Neurological Surgery Associates, PC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Metcalf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Metcalf accept?

Health plans from Blue Cross and Blue Shield of Alabama list Heather Metcalf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Metcalf was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.